Summary of published evidence

The evidence for differentiated models of ART delivery is summarized below and presented by model type: health care worker-managed groups, client-managed groups, facility-based individual, and out-of-facility based individual. Data from peer-reviewed publications and conference abstracts is included with links to original sources highlighted and available for download. Other published literature such as commentaries, country implementation and costing studies can be found here.

A one-size-fits-all model of HIV services does not work for all 37 million people living with HIV today. Differentiated service delivery is a responsive, client-centred approach that simplifies and adapts HIV services across the cascade to better serve individual needs and reduce unnecessary burdens on the health system. More countries are revising their HIV service delivery models and recognize that it is time to deliver differently.

The International AIDS Society (IAS) developed this website in collaboration with: the World Health Organization (WHO); Joint United Nations Programme on HIV/AIDS (UNAIDS); United States President’s Emergency Plan for AIDS Relief (PEPFAR); Centers for Disease Control and Prevention (CDC); United States Agency for International Development (USAID); Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM); Bill & Melinda Gates Foundation (BMGF); Médecins Sans Frontierès (MSF); World Bank; International Community of Women Living with HIV/AIDS (ICW); and members of several ministries of health. The compendium website contains tools and evidence endorsed for use by national HIV programmes and country implementing partners supported by the agencies engaged in its development.